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Individual

MICHAEL R. NOSS

Active
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Individual

MICHAEL R. NOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H0695
TX
2084P0802X
Addiction Psychiatry Physician
H0695
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132292709
TX
05
132292710
TX
05
132292712
TX
05
132292713
TX
01
8K4031
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/12/2006
Last updated
10/23/2023
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